Collections Representative

UnitedHealth Group•Tampa, FL

19h•$18 - $32•Remote

About The Position

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits, and discover the meaning behind: Caring. Connecting. Growing together. This position is part of the Patient Financial Services AR Recovery Team and is responsible for resolving outstanding payer balances in accordance with regulatory and contractual obligations. The critical tasks of this position include resolving payer denials by way of understanding payer policies, contacting the payer, appealing, or resubmitting the claim. Critical tasks also include understanding and reconciling the open payer balances in accordance with a payor’s contract. This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00 AM - 4:30 PM EST based on business need. We offer on the job training. The hours during training will be 8:00 AM - 4:30 PM EST. Training will be conducted virtually from your home. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

High School Diploma / GED
Must be 18 years of age OR older
1+ years of accounts receivable experience, within a healthcare setting
Experience working with denied healthcare claims
Experience working with insurance companies to verify the status of denied claims and ensure timely payment
Ability to work Monday - Friday, 8:00 AM - 4:30 PM EST
Ability to keep all company sensitive documents secure (if applicable)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nice To Haves

Experience working with Commercial, Medicare, or Medicaid payers

Responsibilities

Actively participate in team huddles and meetings by way of sharing knowledge, requesting information, and recommending process improvements
Work closely by way of problem solving with peers and leaders to address payer issues or changes that directly impact the accounts receivable
Resolve assigned accounts in a timely and accurate manner, which maximizes reimbursement in compliance with payer regulations and the department’s policy and procedures
Take necessary AR adjustments in accordance with the department’s adjustment policy
Meet or exceed the Northern Light Health performance standards as it relates to quality and productivity
Request relevant information from appropriate revenue cycle and clinical departments as required by payer
Ensure assigned discharged and final billed accounts are not aging and are escalated timely
Thoroughly understand the department’s key performance indicators
Maintain the knowledge of payer policies; complete AAHAM or other healthcare related webinars
Other duties as assigned